Necrotizing fasciitis in childhood. Case report, and review of the literature.

Introduction: Necrotizing fasciitis (NF) is an aggressive and relatively rare soft tissue infection, involving the fascia and the subcutaneous tissue, with a rapidly fatal evolution.

Case Report: GE, an 8 year-old girl presented with edema and redness of the external genitalia. Twelve hours later, she became toxic while her redness extended in the abdominal wall and both upper thighs.

The Roux-en-Y procedure in congenital hepato-biliary disorders.

Background: The use of the Roux-en-Y procedure is limited in paediatric surgery practice, and is performed mainly in congenital hepatobiliary disorders either as an initial or permanent treatment. In this 18-year retrospective study, we present our experience of the Roux-en-Y procedure in childhood cases of biliary atresia (BA) and congenital choledochal cyst (CCC).

Methods: Twenty-eight children (18 females and 10 males; age 25 days-12 years) with hepatobiliary disorders were treated in our clinics between 1986-2004.